Search › Wisconsin › 363LF0000X
Jacklyn Spates, APNP
NPI 1487969572 · on the registry since 2010
Practice
- Address
- 820 E Grant St
Suite 230
Appleton, WI 54911 - Phone
- (920) 738-7300
- Fax
- (920) 738-7301
- Organisation at this address
- Comprehensive Pain Management Of The Fox Valley, Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin